Shannon Leigh Nicholson CFNP

NPI 1457507717 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1457507717
Gender Female
Enumeration Date 08/18/2008
Last Updated 06/21/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
19455 DEERFIELD AVE
SUITE 312
LANSDOWNE VA, 20176-8100, US
Phone (703) 729-5010
Fax (703) 729-5833
Business Location
19455 DEERFIELD AVE
SUITE 312
LANSDOWNE VA, 20176-8100, US
Phone (703) 729-5010
Fax (703) 729-5833
Toxanomy
Taxonomy Code 363LF0000X
License State Virginia
License Number 0024167932
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According to our database, Shannon Leigh Nicholson CFNP NPI is 1457507717, taxonomy code is 363LF0000X and license number is 0024167932, license state is located at Virginia. Shannon Leigh Nicholson CFNP physically located at 19455 Deerfield Ave, Lansdowne VA, 20176-8100. NPI Number Shannon Leigh Nicholson CFNP has the Individual type.

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1457507717 NPI number is provided on an as is basis without warranty of any kind. 1457507717 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Leigh Nicholson CFNP are for informational purposes only.